IndividualActive
Tristen Williams, CNA
NPI 1629880646 · Child Physical Disabilities Respite Care · Omaha, NE
Provider details
- NPI number
- 1629880646
- Entity type
- Individual
- Primary specialty
- Child Physical Disabilities Respite CareRespite Care Facility
- Credential
- CNA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respite Care Facility
- Chore Provider372500000X
Nursing Service Related Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
Practice location
5562 S 122nd St
Omaha, NE 68137-3423
Phone: (402) 980-4689
Approximate (ZIP-level) locationGet directions
Mailing address
14834 Walnut Grove Cir
Omaha, NE 68137-1462
Registry dates
- Enumerated
- 2025-01-25
- Last updated
- 2025-01-25
- Certified
- 2025-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.